Check the label for directions before use. Hold the multihaler by the base and open the mouth piece cover. Slide the knob until you a hear a click. Place the mouthpiece between your lips and breath in deeply. Remove the multihaler and hold your breath for 10 seconds. Afterwards, rinse your mouth thoroughly with water and spit it out.

Duova Multihaler is a combination of two medicines: Formoterol and tiotropium. Formoterol is a bronchodilator while tiotropium is an anticholinergic. They work by relaxing the muscles in the airways and widen the airways. Together, they make breathing easier.

Animal studies have shown adverse effects on the foetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor.

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Lactation

Duova Multihaler is probably safe to use during lactation.
Limited human data suggests that the drug does not represent a significant risk to the baby.

Monitor the baby for dry mouth, constipation, and urinary problems.

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Driving

Duova Multihaler may make you feel dizzy, sleepy, tired, or

decrease alertness. If this happens, do not drive.

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Kidney

Duova Multihaler is probably safe to use in patients with ki

dney disease. Limited data available suggests that dose adjustment of Duova Multihaler may not be needed in these patients. Please consult your doctor.